Résumé
Background: Socio-demographic and environmental factors are associated with the malaria prevalence. Hence assessment of these factors would potentially help in identification of the possible risk factors among households with their health seeking behavior and would help to adopt the most suitable and appropriate malaria control strategies.Methods: A baseline household survey was carried out in the study site Lingappayakadu, Mulki, Manglore involving all study population (n=4954) from July to September 2017. Total 1043 households were interviewed with predesigned semi- structured questionnaire with informed written consent. Blood samples were collected from fever cases and results were confirmed for malaria within 24 hours. Anti-malarial drugs including the Primiaquine were given to all the positive cases. Data regarding socio-demographic characteristics and health seeking behavior were also collected from study population.Results: The prevalence of malaria in the study was 1.41% and slide positivity was 51.09%. The presence of malaria cases was statistically significant with number of members present in the family (p=0.00001, X2=199.37), age group (p=0.0168, X2=8.17) type of working status (p=0.0293, X2=7.06). Environmental factors like type of housing (p=0.3366, OR=1.3854), peri-domestic sanitation (p=0.1646, OR=0.554), Mosquito breeding (p=0.4504, OR=0.6757), indoor mosquitoes (p=1.000, OR=0.6173) and mosquito bite prevention methods were (p=0.1910, OR=1.7316) not showing any significant difference. Out of 137 fever cases, 70 cases were diagnosed with malaria amongst which 94.3% cases completed anti-malaria drug treatment.Conclusions: A survey provides data regarding socio-demographic, environmental and health seeking behavior of population. The study did not show any statistically significant association of malaria with many environmental parameters. Health seeking behavior could be analyzed and improved with frequent surveillance methods.
Résumé
OBJECTIVE: A case series study was conducted for two years from 01 June 2002 to 01 June 2004 to study the efficiency of ultrasound guided hydrostatic reduction in the management of intussusception in children. METHODS: A total of 25 patients who underwent the procedure were evaluated. All the patients were diagnosed by High Resolution Ultrasonography (HRUSG). Continuous monitoring of the progress of reduction during the procedure was done by HRUSG. 500-1000 ml (average 600 ml) of normal saline was used. RESULTS: 24 out of 25 (96%) intussusceptions were successfully reduced. Average time taken was 15 minutes. All the patients were reviewed after 24 hrs for recurrence. None of them showed recurrence within 24 hrs. No complications were observed. CONCLUSION: The study concludes that ultrasound guided hydrostatic reduction is a safe, simple and effective method for treatment of intussusception in children.